Clark Chiropractic Health Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0003633 Issued in FL

Legal business name

CLARK CHIROPRACTIC HEALTH CENTER INC

Practice address

2909 4TH St N
St Petersburg, FL 33704-2103

Phone

(727) 528-2808

Fax

(727) 824-8855

NPI assigned

Dec 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas G Clark, D.C.

Title

President Owner

Phone

(727) 528-2808

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Michael Kozlowski, D.C.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1114927555
  NPD
• Richard Deneen Shook, D.C.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1346303401
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1467516856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042103",
            "telephone_number": "727-528-2808",
            "fax_number": "727-824-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042103",
            "telephone_number": "727-528-2808",
            "fax_number": "727-824-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHIROPRACTIC HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "727-528-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Neil Cisek
• Elizabeth Citro, MS, RD, LD
• Courtney Brianna Claar, EDS
• Lenoir Clancy, MS CF SLP
• Clarity in Your Life, LLC
• Ann L Clark-Whitlock, ARNP
• Bailey N Clark, PA-C
• Bonita Joan Clark, APRN
• Colleen Clark, LMHC
• Fred Elton Clark III, M.D.

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.